Pedo Ortho Dental Specialists Llc

LBN: Pedo Ortho Dental Specialists Llc
Pedo Ortho Dental Specialists Llc is an health care organization with primary practice located at 8950 Sw 74Th Ct Ste 124 , Miami FL 33156-3171. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pedo Ortho Dental Specialists Llc can be contacted via phone (954) 268-9825, or through Criscuolo, Stephen via phone (954) 268-9825.

Contact Information

Primary practice address
8950 Sw 74Th Ct Ste 124 Miami FL 33156-3171
Phone: (954) 268-9825
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Criscuolo, Stephen
Phone: (954) 268-9825

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN21814 Florida

Profile Details

NPI number 1538673975
LBN Legal business name Pedo Ortho Dental Specialists Llc
DBA Doing business as
Authorized official Criscuolo, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2017
Last updated Nov 21st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538673975 NPPES
Florida MEDICAID 008662900
Florida MEDICAID 019273100

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